Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
DORNASE ALFA 2.5 MG/2.5ML INH SOLN
Low
$50
Average
$205
Median
$115
High
$1.4k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
54 hospitals; the 90th percentile is 8.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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62 hospital rates
iThe hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 2 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 3 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $305 | $371 | $113 | 30% | — | $305 – $566 |
| 4 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 5 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $657 | $657 | $1 | 0% | — | $655 – $658 |
| 6 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 7 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 8 | Glenwood Regional Medical Center - HSA West Monroe, LA facility · fee schedule · outpatient | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 9 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 10 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 11 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 12 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · inpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 13 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 14 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · inpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 15 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 16 | John Muir Health Walnut Creek, CA fee schedule · both | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 17 | John Muir Health Concord, CA fee schedule · both | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 18 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 19 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $488 | $488 | $0 | 0% | — | $488 – $488 |
| 20 | Kaweah Health Rehabilitation Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $488 | $488 | — | — | — | $488 – $488 |
| 21 | Kennedy University Hospital, Inc Turnersville, NJ facility · fee schedule · inpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 22 | Kennedy University Hospital, Inc Turnersville, NJ facility · fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 23 | Kennedy University Hospital, Inc Cherry Hill, NJ facility · fee schedule · inpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 24 | Kennedy University Hospital, Inc Cherry Hill, NJ facility · fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 25 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
← Payers reporting HCPCS J7639 · Snapshot 20261111T120946Z-9134e7f7